What is gum disease?

Periodontitis (gum disease) is caused by bacteria and food debris that collects at the gum line as dental plaque. The plaque needs to be removed by brushing and cleaning all surfaces of the teeth twice a day. If not properly cleaned, the plaque hardens into tartar, the gum starts to come away from the tooth forming pockets, and the tartar spreads below the gum line. Over time, the bone that supports the teeth wears away, the gums shrink, and eventually the teeth may become loose, and in some instances this may lead to tooth loss.

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Surgical Treatments

If you have advanced periodontitis (gum disease), you may need dental surgery such as:

Flap Surgery

Flap surgery is also known as pocket reduction surgery. A small nick is made in the gum and the tissue carefully folded back. This exposes the tooth roots for more effective deep cleaning. As periodontitis often leads to bone loss, the bone may be reshaped before the gum tissue is stitched back in place. After the gums have healed, it should be easier to clean the areas around your teeth and maintain healthy gums.

Tissue-stimulating Proteins

Tissue stimulating proteins may be required if periodontitis has led to bone loss. This involves applying a special gel to the exposed tooth roots. This gel contains proteins found in developing tooth enamel that stimulates healthy bone and tissue growth.

Guided Tissue Regeneration (GTR)

GTR may be required if periodontitis has led to bone loss. GTR involves placing a thin sheet of material (membrane) between the gum and the bone. This prevents tissue from growing into areas where bone structure is needed.

Bone Grafting

Bone grafting may be required if periodontitis has led to bone loss. The periodontal specialist will remedy this by placing real or artificial bone under the gums. The bone graft helps hold your teeth in place preventing tooth loss.

Non-Surgical Treatments

If you have a milder form of gum disease (gingivitis), the condition can be managed by:


Scaling removes tartar and bacteria from your tooth surfaces and below the gum line by using hand instruments or an ultrasonic device.

Root Planing

Root planing involves smoothing the root surfaces. This helps promote gum tissue growth and prevents further build-up of tartar.


Topical or oral antibiotics may help clear bacterial infections. Antibiotics may involve placing an antibiotic gel into the pockets surrounding the teeth or the use of antibiotic mouthwash.

What are the Benefits
of Gum Treatment?

The benefits of treating gum disease include, but are not limited to:

Healthier gums and a fresher mouth

Reduced or no bleeding of gums when brushing
Reduced or no soreness of gums when brushing
Stronger gums means stronger teeth!
Reduced or no discomfort when eating
Longer lasting teeth and healthier gums

Who Can Get Gum Disease?

Most people have some type of gum disease, with a few patients being at risk of more advanced forms. Factors that may increase the risk of advanced gum disease include but are not limited to: diabetes, smoking (including e-cigarettes), stress, poor diet, obesity, a family history of gum disease, or certain medication. Maintaining good oral hygiene is paramount to prevent symptoms worsening.

Do You Have
Periodontal Disease?

If you experience any of the below symptoms, please get in touch with a member of our team:

Bleeding gums when brushing

Bleeding gums when eating
Red, swollen gums
Receding gums
Spaces appearing between teeth
Loose teeth or teeth changing position in the mouth

Frequently Asked Questions

What Our Patients Say

I just want to say thank you for making me feel at ease last Friday during my Re-Root Canal. I can’t actually believe how pain-free it was so thank you for getting me through it.

Zorina Eborall

“I would like to apologise for getting a little emotional when I recently attended your practise. I was so grateful and appreciative for all your efforts and the hard work you carried out. You cannot imagine what it means to me. I would like to wish you and your team a very happy, peaceful and prosperous new year. Once again, many thanks and best wishes.”

Stephen Spencer

Overall great experience with Dr. Nida at Shiraz Endodontics. She was very knowledgeable, professional, and explained everything clearly. She did a thorough oral examination on my molar, and I felt at ease during the consultation. The practice itself is conveniently located within Solihull, with onsite car park. I highly recommend Dr. Nida to anyone who needs an endodontist in the Midlands.

Ahmed Hany

Opening Hours

Mondays – Fridays 8:30am – 5:30pm